Proof of Selective Service Registration or Exemption

• CMC Student Name

  CMC Student Name * First Middle Last
• CMC Student ID Number *
  Must be 8 digits.   Currently Entered: 0 digits.
• Student Email *
• Check one of the boxes to declare your Selective Service status: *
  Check one of the boxes to declare your Selective Service status:

  I was already registered with Selective Service. I am emailing proof of my Selective Service registration, printed out online at www.sss.gov to finaid@cmc.edu I was under the age of 18 at the time of my Free Application for Federal Student Aid application submission. I was born before 1960 and therefore I am exempt from registering with Selective Service. I am currently in the armed services and on active duty. I am emailing proof of my active duty orders to finaid@cmc.edu. I am a veteran. I am emailing a copy of my DD-214, military ID or active duty orders to finaid@cmc.edu. I am a non-citizen who first entered the U.S. after my 26th birthday. I am emailing proof of my immigration date into the U.S. (copy of entry date stamp on the I-94 Form or from my passport, and/or a letter from the USCIS indicating the entry date) to finaid@cmc.edu. I was not required to register prior to meeting the following criteria and met the criterion for the entire time, through the age of 25, and therefore qualify for a waiver because I was unable to register due to being hospitalized, incarcerated, or institutionalized. I am emailing proof to finaid@cmc.edu. I was not required to register prior to meeting the following criteria and met the criterion for the entire time, through the age of 25, and therefore qualify for a waiver because I was enrolled in an officer procurement program at The Citadel, North Georgia College and State University, Norwich University, Virginia Military Institute, Texas A&M University, or Virginia Polytechnic and State University; or I was a commissioned Public Health Service officer on active duty or a member of the Reserve of the Public Health Service on specified active duty. I am emailing proof to finaid@cmc.edu. I failed to register with Selective Service and am over the age of 25. I will complete the personal statement section below. I am also emailing finaid@cmc.edu a Status Information Letter from Selective Service obtained by downloading the "Request for Status Information Letter" online at www.sss.gov or by calling (847) 688-6888
• Personal Statement *
• Statement of Certification *
  Statement of Certification

  By checking this box, you certify that all of the information that you provided is true and complete to the best of your knowledge, and you agree, if asked, to provide further documentation that will verify the accuracy of your completed form. Also, you certify that you understand that the Department of Education has the authority to verify information reported on this form with the Internal Revenue Service and other federal agencies. If you purposely give false or misleading information, you may be fined up to $20,000, sent to prison, or both.
• Date

  Date / MM / DD YYYY